Theoretical Foundations
What is family?
Any combination of two or more persons who are bound together over time by ties of mutual consent, birth, and/or adoption or placement
Which hormone thickens the uterine lining?
Progesterone
How often should prenatal visits be?
every 4 weeks until week 28; then every 2 weeks until week 36; then weekly until delivery
What is the first stage of lochia called?
lochia rubra
110-160bmp
What is the nurse's role in family centered care?
Empowerment; Enter into a partnership to achieve goals
What is an ectopic pregnancy?
When the embryo implants outside the uterus
What is Nagele's Rule?
A formula to estimate due date based on last known menstrual cycle.
Count back 3 months and then add 7 days or add 7 days and Count forward 9 months,
Where should the fundus be located right after birth?
How should the fontanel's feel?
Soft and flat/mild depression
Sunken or Bulging is concerning
What is the definition of a dysfunctional family?
Family unit that inhibits clear communication within family relationships and does not provide psychological support for individual members
How much weight should a normal healthy woman gain during pregnancy?
25-35lbs
What are the 3 positive signs of pregnancy?
Ultrasound, Fetal movement felt by healthcare professional, heartbeat detected by doppler
What constitutes heavy blood loss?
Saturation of pad within 1 hour
At what age does the posterior fontanel close?
3 months
What social determinant of health is most predictable for poor health outcomes?
Socioeconomic status
What happens to blood volume during pregnancy?
It increases
How much folic acid should a healthy pregnant individual be taking?
0.4mg
If you suspect a postpartum hemorrhage, what actions should you take?
Massage the fundus
Call for help
Call the provider
How is hyperbilirubinemia usually treated?
Phototherapy
What shape is a male in a genogram?
Square
What is Goodell's sign?
Softening of the cervix due to increased blood flow.
When do we test for gestational diabetes?
Between 24-28 weeks
In a healthy term pregnancy, how dilated will the cervix be for labour?
10cm
What are the components of the Apgar score?
Appearance, pulse, grimace, activity, respiratory effort